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Increasing health system synergies in low-income settings: Lessons learned from a qualitative case study of Rwanda.
- Source :
-
Global Public Health . Dec2022, Vol. 17 Issue 12, p3303-3321. 19p. - Publication Year :
- 2022
-
Abstract
- Building synergies is seen as an effective strategy to address and decrease existing fragmentation in health systems of low-and middle-income countries (LMICs). To that end, different programmes, such as the Sector Wide Approach, have been adopted to increase health system synergies. Despite these efforts, fragmentation remains an enduring problem, hampering health system performance in LMICs. This study is part of the Lancet Commission on synergies between Universal Health Coverage, Health Security, and Health Promotion; we aimed to document synergising strategies adopted by Rwanda. Data for this paper came from a qualitative study including in-depth interviews of 15 key informants and a document review. A thematic analysis embracing deductive and inductive approaches was used to analyse the data. We found that Rwanda adopted three main strategies to increase health system synergies: (1) alignment of health programmes with national health policies and strategies, (2) increased coordination across national health institutions, and (3) effective monitoring and evaluation frameworks. Achieving synergies in a low-resource country is challenging but not impossible. To meet the target of global health agendas such as the Sustainable Development Goals and the prevention of future global pandemics, efforts to increase health system synergies in LMICs need to be strengthened. [ABSTRACT FROM AUTHOR]
- Subjects :
- *INSTITUTIONAL cooperation
*HEALTH policy
*POLICY analysis
*UNIVERSAL healthcare
*PUBLIC health
*INTERVIEWING
*NATIONAL health services
*HEALTH care reform
*QUALITATIVE research
*CONCEPTUAL structures
*INTERPROFESSIONAL relations
*QUALITY assurance
*RESEARCH funding
*DESCRIPTIVE statistics
*INTEGRATED health care delivery
*THEMATIC analysis
*STATISTICAL sampling
*JUDGMENT sampling
*SUSTAINABLE development
*HEALTH promotion
Subjects
Details
- Language :
- English
- ISSN :
- 17441692
- Volume :
- 17
- Issue :
- 12
- Database :
- Academic Search Index
- Journal :
- Global Public Health
- Publication Type :
- Academic Journal
- Accession number :
- 161686541
- Full Text :
- https://doi.org/10.1080/17441692.2022.2129726